Óbitos infantis investigados pelo Comitê de Prevenção da Mortalidade Infantil em região do Estado do Paraná

Mathias, Thaís Aidar de Freitas; Assunção, Amanda Nolasco de; Silva, Gisele Ferreira da

doi:10.1590/s0080-62342008000300005

Cited by 19 publications

(27 citation statements)

References 9 publications

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“…The results agree with the findings of a study of municipalities within the 15 th Regional Health District of the State of Paraná, between 2000 and 2006, in which 70.1% of analyzed deaths were considered preventable [2]. In that regard, health and nursing teams must develop actions that meet the challenges created by the conditions of morbi-mortality from preventable causes.…”

Section: Discussionsupporting

confidence: 87%

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Preventable infant mortality: Spatial distribution and main causes in three Brazilian municipalities

Oliveira¹,

Mathias²

2013

Health

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ABSTRACTwere considered preventable, and higher percentages were found in outlying areas. The main causes were illnesses originated during the perinatal period (73.8%), external causes (11.3%) and diseases of the respiratory system (5.1%). Conclusion: It is necessary to implement actions and policies on child and prenatal assistance, in order to reduce the inequality observed between the central and outlying areas of the region under study.

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Section: Discussionsupporting

confidence: 87%

“…Knowing the context in which child deaths occur is essential to evaluating local actions with regard to women's and children's health, as well as to promoting measures against potentially preventable infant morbimortality [2].…”

Section: Introductionmentioning

confidence: 99%

Preventable infant mortality: Spatial distribution and main causes in three Brazilian municipalities

Oliveira¹,

Mathias²

2013

Health

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“…(17) Delivery of low-birth-weight infants in advanced-age women has also been identified in other studies. (17,21) Among associated maternal factors, the most emphasized are arthritis; chronic blood hypertension; depression; cancer; and acute myocardial infarction, which constitute independent risk factors for fetal growth restriction. (16) Newborns born to adolescent mothers were 1.44 times more likely to present with an Apgar index of lower than seven in the first five minutes.…”

Section: Discussionmentioning

confidence: 99%

Idade materna e fatores associados a resultados perinatais

et al. 2013

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Objective: To analyze and compare perinatal outcomes of pregnant adolescent women and pregnant women in later age (between 20 and 34 years old) from data of a Live Born Information System. Methods: A cross-sectional study was carried out with data collected retrospectively of 18,009 live born infants from consults of data of a Live Born Information System. Registers of live born infants were distributed in three groups: group I (adolescents) -10 to 19 years old; group II -20 to 34 years old; and group III (later age) -35 years or older. Results: Findings showed that perinatal risks were related to prematurity (OR 1,35) and five-minute Apgar scores of less than seven (OR 1,44) among infants born to adolescent mothers. Conclusion: Results pointed out high indexes of preterm birth in low-birth-weight infants and five-minute Apgar scores of less than seven in pregnancies that occurred in adolescents and in women 35 years and older. ResumoObjetivo: Analisar e comparar os resultados perinatais de gestantes adolescentes e em idade tardia com mulheres entre 20 a 34 anos, a partir dos dados do Sistema de Informação de Nascidos Vivos. Métodos: Foi realizado um estudo transversal, com coleta de dados retrospectiva de 18009 nascidos vivos a partir de consultas aos dados do Sistema de Informação de Nascidos Vivos. Os registros dos nascidos vivos foram distribuídos em três grupos: grupo I (adolescentes) -10 a 19 anos; grupo II -20 a 34 anos e grupo III (idade tardia) -35 anos ou mais. Resultados: Os resultados mostraram riscos perinatais relacionados à prematuridade (OR 1,35) e Apgar quinto minuto menor que sete (OR 1,44) em mães adolescentes. O baixo peso ao nascer apresentou risco de 1,22 e 1,24 vezes entre as gestantes do grupo I e III. Conclusão: Os resultados apontaram elevados índices de nascimento pré-termo, baixo peso ao nascer e Apgar no quinto minuto menor que sete nas gestações ocorridas em adolescentes e em mulheres com idade igual ou superior aos 35 anos.

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“…18,19 Considering that most large Brazilian municipalities have committees, the need for greater technical and operational support of these organs, by the State Secretariats and the Ministry of Health, appears essential, as does training of the teams involved.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the existence of studies about the importance of infant death surveillance to evaluate and plan programs, 3,7,8,18,19,21 we did not encounter studies that evaluate the implementation of this activity nor studies about the effect of the FHS. New investigations should be performed to analyze variables that provide insight to obstacles in decentralizing surveillance activities to health teams, as well as to identify and evaluate successful municipal experiences that support the defi nition of strategies to overcome problems.…”

Section: Discussionmentioning

confidence: 99%

Efeito da Estratégia Saúde da Família na vigilância de óbitos infantis

2012

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OBJECTIVE:To evaluate the effect of the Family Health Strategy on infant mortality surveillance. METHODS:An ecologic study was performed with a multiple group design, and the unit of analysis was municipalities in Bahia state (Northeastern Brazil) in 2008. The 3,947 deaths analyzed were obtained from the Mortality Information System, and the minimum acceptable level for death investigation was 25%. Logistic regression models were used for bivariate and multivariate analysis and adjusted for sociodemographic and service organization variables. RESULTS:In 48.9% of the municipalities at least one infant death was investigated, and 35.5% of municipalities achieved the minimum target for investigation. In the bivariate model, the investigation of at least one infant death was statistically associated with more populous municipalities, higher Human Development Indices, existence of Investigation Committee and obstetric beds in the municipality; there were no associations with Family Health Strategy coverage and existence of a designated person in the municipality. In multivariate models, the investigation of at least one infant death was statistically associated with population size (OR = 4.02) and presence of obstetric beds (OR = 2.68). Achieving the minimum target was associated only with the existence of obstetric beds in the municipality (OR = 1.76). CONCLUSIONS:The investigation rate for deaths of children less than one year of age was less than the level agreed upon in Bahia in 2008. There was no association between coverage of the Family Health Strategy and death investigations, which suggests that Infant Mortality Surveillance is at an incipient stage, especially in regards to decentralization to local primary care teams.

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Óbitos infantis investigados pelo Comitê de Prevenção da Mortalidade Infantil em região do Estado do Paraná

Cited by 19 publications

References 9 publications

Preventable infant mortality: Spatial distribution and main causes in three Brazilian municipalities

Preventable infant mortality: Spatial distribution and main causes in three Brazilian municipalities

Idade materna e fatores associados a resultados perinatais

Efeito da Estratégia Saúde da Família na vigilância de óbitos infantis

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